Organization
DEPENDABLE CARE TRAVELING NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS POROTHEA LYNNETTE DENNIS NP (OWNER/PROVIDER)
(937) 974-9398
Entity
Organization
Contact information
Practice address
33 DAYTON AVE, DAYTON, OH 45402-6402
(937) 974-9398
Mailing address
PO BOX 594, DAYTON, OH 45401-0594
(937) 422-8128
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659771673
MEDICARE
OH
05
—
1659771673
—
OH
Enumeration date
09/10/2020
Last updated
09/12/2020
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